
        <br>
        <div>
            <form name="lender" method="post" action="UpdateLender.php">
                <input name="lender_ID" type="hidden" id="lender_ID" value="<?PHP print $lender_ID ?>"/>
                <table id="form" align="center" cellspacing="1"cellpadding="0">
                    <tr class="col_head">
                        <td colspan="2">&nbsp;</td>
                        <td><h1>Lender's details</h1></td>
                    </tr>
                    
                    <tr>
                        <td align="right">Lender Name:</td>
                        <td>&nbsp;</td>
                        <td>
                            <input name="lendername" type="text" size="50" id="lendername" value="<?PHP print $lendername ?>"/></td>

                    <tr>
                        <td align="right">Address</td>
                        <td>&nbsp;</td>
                         <td>
                            <input name="address1" size="50" type="text" id="address1" value="<?PHP print $address1 ?>"/></td>
                        <td>&nbsp;</td>
                    </tr>
                    <tr>
                        <td align="right"></td>
                        <td>&nbsp;</td>
                         <td>
                            <input name="address2" size="50" type="text" id="address2" value="<?PHP print $address2 ?>"/></td>
                        <td>&nbsp;</td>
                    </tr>
                                        <tr>
                        <td align="right"></td>
                        <td>&nbsp;</td>
                         <td>
                            <input name="address3" size="50" type="text" id="address3" value="<?PHP print $address3 ?>"/></td>
                        <td>&nbsp;</td>
                    </tr>
                    <tr>
                        <td align="right"></td>
                        <td>&nbsp;</td>
                         <td>
                            <input name="city" size="50" type="text" id="city" value="<?PHP print $city ?>"/></td>
                        <td>&nbsp;</td>
                    </tr>

                    <tr>
                        <td align="right">Postcode</td>
                        <td>&nbsp;</td>
                         <td>
                            <input name="postcode" size="8" type="text" id="postcode" value="<?PHP print $postcode ?>"/></td>
                        <td>&nbsp;</td>
                    </tr>
                                        <tr>
                        <td align="right">Telephone:</td>
                        <td>&nbsp;</td>
                        <td>
                            <input name="telno" type="text" id="telno" value="<?PHP print $telno ?>"/></td>
                    </tr>
                                                            <tr>
                        <td align="right">Fax:</td>
                        <td>&nbsp;</td>
                        <td>
                            <input name="faxno" type="text" id="faxno" value="<?PHP print $faxno ?>"/></td>
                    </tr>
                    <tr>
                        <td align="right">Email:</td>
                        <td>&nbsp;</td>
                        <td>
                            <input name="email" size="50" type="text" id="email" value="<?PHP print $email ?>"/></td>
                    </tr>
                    <tr>
                        <td align="right">FSCS:</td>
                        <td>&nbsp;</td>
                        <td class="data">
                            <Input type = 'Radio' Name ='fscs' value= 'Y' <?PHP print $fscs_y; ?>>Y 
                            <Input type = 'Radio' Name ='fscs' value= 'N' <?PHP print $fscs_n; ?>>N
                        </td>
                    </tr>
                    <tr>
                        <td align="right">FOS Questionnaire:</td>
                        <td>&nbsp;</td>
                        <td class="data">
                            <Input type = 'Radio' Name ='fosq' value= 'Y' <?PHP print $fosq_y; ?>>Y 
                            <Input type = 'Radio' Name ='fosq' value= 'N' <?PHP print $fosq_n; ?>>N
                        </td>
                    </tr>
                    <tr>
                        <td colspan="2"></td><td><br><input id="btnsubmit" name="btnsubmit" type="submit" value="Submit" onClick="return(valid(document.frmclaim.txttele));" />
                        </td>
                    </tr> 
                </table>
            </form>
        </div>